Toprol XL (Metoprolol)

Toprol XL Information

Toprol XL, with the generic name of metoprolol, belongs to a class of drugs known as beta-blockers that affect the heart and circulatory system.

Toprol XL Indications

Toprol XL is specially formulated to treat:

• Hypertension (high blood pressure)
• Chest pain (angina)
• Heart failure
• Recurrence of heart attack

Toprol XL Warnings/Precautions

Have a talk with your doctor first if you have any of the conditions below:

• Asthma
• Heart problem (low blood pressure, slow heart rate, heart block, sick sinus syndrome, pacemaker, heart failure, and others)
• Diabetes
• Depression
• Thyroid disease
• Kidney disease
• Liver disease
• Any type of circulatory disease

In any of the above cases, it may not be advisable to take Toprol XL. You may also be given dosage alterations or may need to undergo special monitoring during the treatment period.

Toprol XL is in FDA Pregnancy Category C. This entails that its effects to an unborn child is not certain. Should you be pregnant or planning to be, have a talk with your doctor before taking this drug.

Toprol XL is known to pass into breast milk and may affect a nursing infant. Breastfeeding mothers are advised to see their doctor before deciding to take this medication.

Toprol XL Intake Instructions

Toprol XL must be taken as directed by your physician. If there is any instruction that appears unclear to you, ask your doctor, nurse, or pharmacist.

Each dose is taken with a full glass of water on a full stomach. Do not crush or chew the extended-release tablet or capsule as it is specially formulated to be released slowly in the body. Toprol XL can be divided into half (if directed by your physician) and the half should be swallowed whole.

To get the most benefit out of this medication, take Toprol XL regularly. Do not discontinue use unless told to do so by your physician.

Toprol XL Missed Dose

Unless directed by your doctor, Toprol XL must not be double dosed. If you happen to miss a dose, take it as soon as you remember as long as it is not almost time for the next scheduled dose. Otherwise, skip missed dose and proceed with the next.

Toprol XL Overdose

Symptoms of over dosage include:

• Slow heart beat
• Shortness of breath
• Fainting
• Dizziness
• Weakness
• Confusion
• Nausea
• vomiting

If you feel any of the above conditions, seek immediate medical assistance.

Toprol XL Side Effects

Stop intake of Toprol XL and see your doctor if you experience any of the following severe side effects:

• Allergic reactions (difficulty in breathing, closing of the throat, swelling of the lips, tongue, face, or hives
• Wheezing or shortness of breath
• Unusually slow or irregular heartbeat
• Swelling of the feet and lower legs
• Leg pain or cramping
• Sudden weight gain (more than 2 lbs. per day or 5 lbs. in a week)
• Chest (heart) pain
• Unusually cold or blue feet and hands
• Skin rash

Minor side effects that are more likely to occur include:

• Fatigue or confusion
• Headache or dizziness
• Weak pulse or mildly slow heart rate
• Diarrhea, constipation, gas, nausea, or vomiting
• Depression
• nightmares

In any of the less severe cases above, just continue use of Toprol XL and see your doctor.

For other possible side effects that are particularly causing discomfort, inform your physician immediately.

Toprol XL Drug Interactions

Inform your doctor if you are taking any of the drugs below before deciding to take Toprol XL:

• heart medications such as Nifedipine (Procardia, Adalat), reserpine (Serpasil), verapamil (Calan, Verelan, Isoptin), diltiazem (Cardizem, Dilacor XR), clonidine (Catapres), digoxin (Lanoxin), doxazosin (Cardura), guanadrel (Hylorel), prazosin (Minipress), or terazosin
(Hytrin)
• diabetes medications such as insulin, glyburide (Diabeta, Micronase, Glynase), glipizide (Glucotrol), chlorpropamide (Diabinese), or metformin (Glucophage)
• nonsteroidal anti-inflammatory drugs (NSAID) such as ibuprofen (Motrin, Advil, others), naproxen (Aleve, Anaprox, Naprosyn, others), ketoprofen (Orudis, Orudis KT, Oruvail), and others
• respiratory medications such as albuterol (Ventolin, Proventil, Volmax, others), bitolterol (Tornalate), metaproterenol (Alupent, Metaprel), pirbuterol (Maxair), terbutaline (Brethaire, Brethine, Bricanyl), or theophylline (Theo-Dur, Theochron, Theolair, others), and others
• the stomach medication cimetidine (Tagamet, Tagamet HB)
• prescription or over-the-counter cough medicines, cold medicines, or diet pills

You may not be advised to take Toprol XL, or you may need to undergo special monitoring during the treatment period, or may be given dosage adjustments.

Other drugs not included in the list above may also have adverse reactions when taken with Toprol XL. Have a talk with your doctor before deciding to take other prescribed or over-the-counter medicines, including vitamins & minerals, and herbal products.

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